Healthcare Provider Details

I. General information

NPI: 1285549212
Provider Name (Legal Business Name): MELISSA TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 W BROADWAY BLVD STE 5
SEDALIA MO
65301-2374
US

IV. Provider business mailing address

2760 SOUTHGATE LOOP
SEDALIA MO
65301-8843
US

V. Phone/Fax

Practice location:
  • Phone: 660-329-9572
  • Fax:
Mailing address:
  • Phone: 816-206-2181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026039345
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: